Journal of Acupuncture Research

  • 제32권4호
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  • Pages.147-156
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  • 2015
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  • 2586-288X(pISSN)
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  • 2586-2898(eISSN)
대한침구의학회 (Korean Acupuncture & Moxibustion Medicine Society)
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흉요추 압박 골절의 한의학적 치료에 대한 국내 임상 근거 : 체계적 문헌 고찰

Korean Medicine for Thoracolumbar Compression Fracture in Korean Literature : a Systematic Review

  • 배지민 (부산대학교 부속한방병원 침구과) ;
  • 김대훈 (부산대학교 부속한방병원 침구과) ;
  • 김재규 (부산대학교 한의학전문대학원 임상의학부) ;
  • 이병렬 (부산대학교 한의학전문대학원 임상의학부) ;
  • 양기영 (부산대학교 한의학전문대학원 임상의학부) ;
  • 김건형 (부산대학교 한의학전문대학원 임상의학부)
  • Bae, Ji Min (Department of Acupuncture & Moxibustion, Pusan National University Korean Medicine Hospital) ;
  • Kim, Dae Hun (Department of Acupuncture & Moxibustion, Pusan National University Korean Medicine Hospital) ;
  • Kim, Jae Kyu (Department of Clinical Medicine, School of Korean Medicine, Pusan National University) ;
  • Lee, Byung Ryul (Department of Clinical Medicine, School of Korean Medicine, Pusan National University) ;
  • Yang, Gi Young (Department of Clinical Medicine, School of Korean Medicine, Pusan National University) ;
  • Kim, Kun Hyung (Department of Clinical Medicine, School of Korean Medicine, Pusan National University)
  • 투고 : 2015.11.18
  • 심사 : 2015.12.14
  • 발행 : 2015.12.18
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초록

Objectives : This study aims to evaluate the effectiveness and safety of Korean medicine for a thoracolumbar compression fracture. Methods : We searched six Korean databases (DBPIA, Korean Studies Information Service System, Oriental Medicine Advanced Searching Integrated System, National Digital Science Library, Research Information Sharing Service, KoreaMed) (up to June 2015) and the Journal of Korean Acupuncture and Moxibustion Society. Unpublished studies were also searched. Clinical research, other than case reports involving less than 10 patients, were eligible. The effectiveness and safety of Korean Medicine was analyzed. The 'Risk of Bias' was assessed using the 'Risk of Bias' assessment tool for non-randomized studies as well as the Cochrane Collaboration's 'Risk of Bias' tool. Results : We found 12 before-after studies (374 patients). There was no randomized trial. All studies combined at least three different types of Korean medicine treatments. The period of treatment varied between less a week and 154 days. All the included studies reported improvements in pain, functional disability related to lower back pain, global assessment, and benefits in the compression ratio of a fractured vertebrae and skin temperature measured by digital infrared thermal imaging in comparison with the baseline. However, all studies had a high risk of bias and three studies reported mild adverse events. Conclusions : There is no randomized trial for the role of Korean medicine for patients with a thoracolumbar compression fracture. The effectiveness and safety of Korean medicine for this population remains unclear. Findings in this review are seriously biased due to observational design and a high risk of bias included in the studies. Future high-quality randomized trials are warranted.

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피인용 문헌

  1. 척추 압박 골절 환자의 회복에 대한 침 치료의 유효성 및 안전성 평가: 체계적 문헌 고찰과 메타분석 vol.36, pp.1, 2015, https://doi.org/10.14406/acu.2019.036